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<br />El13-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />Date Received
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />I.""""
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<br />Owner's Name
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<br />OwMe. Add"". I ~ <f / ,;, ~j:,~,j/rv..
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<br />Fee Simple Titleholder Namel ~
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<br />Or
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<br />SUBDIVISION
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<br />Fee Simple Titleholder Address I
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<br />ft?'f/~ ~-t'1j~?Jr
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<br />I PARCELlD#1 0 '3 ~dfo ~J.). O/.;;:D. fJOOOIJ r O~90
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />c=J ADD/AL T D SIGN D MOVE D
<br />c=J REPAIR
<br />D COMM D
<br />D FRAME D
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<br />JOB ADDRESS
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<br />LOT #
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<br />D NEW CONSTR
<br />D INSTALL
<br />PROPOSED USE D SFR
<br />TYPE OF CONSTRUCTION D BLOCK J
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<br />DESCRIPTION OF WORK I /\.-l - r1.0r{
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<br />BUILDING SIZE I I SQ FOOTAGE I HEIGHT I
<br />111111111111111111""1'111'1"'1"'11111'1111111"11'"111'11111"1"11'11111111111111111111111111111111111111111111111111111I11111111111I1111111
<br />1$ DO
<br />7. (p of)
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<br />1$
<br />1$
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<br />D MECHANICAL 1$
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<br />D GAS D
<br />FINISHED FLOOR ELEVATIONS I
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<br />WORK PROPOSED
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />I
<br />D
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<br />OTHER I
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<br />D
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<br />D
<br />D
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<br />ROOFING
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<br />I
<br />I
<br />I
<br />I
<br />D
<br />I
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />ELECTRICAL
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<br />PLUMBING
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />SPECIALTY D
<br />FLOOD ZONE AREA
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<br />OTHER
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<br />DYES
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<br />DNO
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<br />BUILDER
<br />SIGNATURE
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<br />HttN ~~~N~~*'
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<br />License # ICJ:-G 0 5;g/3~
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<br />Address
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<br />ELECTRICIAN I
<br />SIGNATURE .
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<br />Address I
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<br />PLUMBER I
<br />SIGNATURE
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<br />I
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<br />COMPANY
<br />REGISTERED
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<br />Y / N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y/N FEE CURRENT
<br /> License #
<br />Y / N FEE CURRENT
<br />
<br />Y/N
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />COMMERCIAL
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<br />Address
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<br />MECHANICAL I
<br />SIGNATURE .
<br />
<br />Address I
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<br />OTHER I
<br />SIGNATURE
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<br />Address I License #
<br />111111I11111I11111I1I111111111111111111I11111111I111I1111I111111111111111111111111111111111111111111111111111111111I11111111111I111111111111111111
<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
<br />
<br />COMPANY
<br />REGISTERED
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<br />Y/N
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<br />COMPANY
<br />REGISTERED
<br />
<br />Y/N
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<br />SIGN PERMIT
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<br />DI~~~t;~~~': ' . . , , , , . , , , , . , , , , , , , , . . , , , . . . . , , , , . . , . , . . , , . . . . . , , . . . , . . . . . , , , . . , , , , , , . . , . , . . , , , . . , , . , , , . . , , , , , , , , , , . . , . , , , , , , , . . , . , , , , , , , , . , . , , , , , , , , .
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<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If over $2500, a Notice of Commencement Is required. (AlC upgrades over $5000)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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